Miramar Eye Specialists Medical Group, Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MIRAMAR EYE SPECIALISTS MEDICAL GROUP, INC

Practice address

3085 Loma Vista Rd
Ventura, CA 93003-2916

Phone

(805) 648-3085

Fax

(805) 648-7027

NPI assigned

Jun 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joel CorwinNPI 1518901651

Title

President/Medical Director

Phone

(805) 583-3950

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• MIRAMAR EYE SPECIALISTS MEDICAL GROUP Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joel Michael Corwin, M.D.

  • Ophthalmology Physician
  • Ventura, CA
  • NPI 1518901651
  Medicare reassignment Care Compare group NPD Authorized official
• Savannah Eden Greyrose Baril, MD, MSC

  • Ophthalmology Physician
  • Camarillo, CA
  • NPI 1235372905
  Medicare reassignment Care Compare group NPD
• Vladislav Bekerman, MD

  • Ophthalmology Physician
  • Ventura, CA
  • NPI 1285138362
  Medicare reassignment Care Compare group NPD
• Michael Boggs, O.D.

  • Optometrist
  • Ventura, CA
  • NPI 1447287503
  Medicare reassignment Care Compare group NPD
• Mark Brunette, O.D.

  • Optometrist
  • Ventura, CA
  • NPI 1538105846
  Medicare reassignment Care Compare group NPD
• Roy T Butera, M.D.

  • Ophthalmology Physician
  • Thousand Oaks, CA
  • NPI 1730205337
  Medicare reassignment Care Compare group NPD
• Steven Lawrence Carter, MD

  • Ophthalmology Physician
  • Ventura, CA
  • NPI 1275038267
  Medicare reassignment Care Compare group NPD
• Yara Chiha, OD

  • Optometrist
  • Simi Valley, CA
  • NPI 1013632272
  Medicare reassignment Care Compare group NPD
• John Davidson, M.D.

  • Ophthalmology Physician
  • Ventura, CA
  • NPI 1205870748
  Medicare reassignment Care Compare group NPD
• John P Fang, M.D.

  • Ophthalmology Physician
  • Ventura, CA
  • NPI 1467461574
  Medicare reassignment Care Compare group NPD
• Emily L. Fant, M.D.

  • Ophthalmology Physician
  • Ventura, CA
  • NPI 1447346416
  Medicare reassignment Care Compare group NPD
• Joshua Hedaya, M.D.

  • Ophthalmology Physician
  • Thousand Oaks, CA
  • NPI 1881618023
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1992746382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032916",
            "telephone_number": "805-648-3085",
            "fax_number": "805-648-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032916",
            "telephone_number": "805-648-3085",
            "fax_number": "805-648-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAMAR EYE SPECIALISTS MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2025-02-11",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "CORWIN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "805-583-3950",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "110369658",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT. OF LABOR",
            "identifier": "205153800",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI5426",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ51212Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0076890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIRAMAR EYE SPECIALISTS MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gergana Mineva, MD
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• Soleyman Mirakhor, MD
• Melinda Miranda
• Keeley Mircetic
• Nevaeh Angel Mireles-Roque
• Maritza Mireles, MA OT
• Jasmine D Mistry

• Ophthalmology Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.